NPI 1396104204

Siti and Jido Park Foundation, INC

Organisation Developmentally Disabled Services Day Training Agency Denton, TX

Practice location

Address: 1804 Cornell Ln, Denton, TX 76201-1727
Phone: (940) 222-8528

Authorised official

Name: Randy Lynn Park
Title: President Board of Directors
Phone: (940) 222-8528

Registered specialties (2)

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Texas →

Voluntary or Charitable Agency

Agencies Taxonomy 251V00000X

Other Voluntary or Charitable providers in Texas →

Registry record

NPI: 1396104204
Entity type: Organization
NPI issued: 19 Feb 2016
Record last updated: 19 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.